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Zachery Pettis is one of 25 OB/GYNs practicing in Waco, Texas .
Zachery Pettis practices with Providence Health Alliance.
Registry record (NPPES)
NPI
1073044434
Type
Type 1 · Individual
Primary taxonomy
Obstetrics & Gynecology · 207V00000X
Address on file
601 W State Highway 6 Ste 101 Waco, TX 76710-5592 (254) 772-5454
Enumerated
Mar 27, 2017
Record last updated
Jul 21, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXObstetrics/Gynecology
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
601 W State Hwy 6 101 Waco Center For Womens Health
Waco , TX 76710
(254) 772-5454
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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